Optimal Aqua Therapy, Llc

LBN: Optimal Aqua Therapy, Llc
Optimal Aqua Therapy, Llc is an health care organization with primary practice located at 611 E Carlson St Ste 117D , Cheyenne WY 82009-4311. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Optimal Aqua Therapy, Llc can be contacted via phone (307) 514-0510, or through Washburn, Paul Jordan via phone (307) 514-0510.

Contact Information

Primary practice address
611 E Carlson St Ste 117D Cheyenne WY 82009-4311
Phone: (307) 514-0510
Fax: (307) 514-2941
Website:
Map and Directions
Authorized official contact:
Name: Washburn, Paul Jordan MD, MPH
Phone: (307) 514-0510

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1700408192
LBN Legal business name Optimal Aqua Therapy, Llc
DBA Doing business as
Authorized official Washburn, Paul Jordan MD, MPH
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2020
Last updated May 8th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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